Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.16 / $3,214.00 / $6,915.00	Facility		$462.16	$3,214.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.59 / $400.59 / $400.59	Facility		$400.59	$400.59	$400.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $1,765.90	Facility		$338.00	$535.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $391.96 / $705.88	Professional		$301.51	$391.96	$705.88
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00